ANTERIOR AND POSTERIOR SPINAL-FUSION FOR PARALYTIC SCOLIOSIS

被引:20
作者
DEWALD, RL [1 ]
FAUT, MM [1 ]
机构
[1] RUSH PRESBYTERIAN ST LUKES MED CTR,DEPT ORTHOPAED SURG,CHICAGO,IL 60612
关键词
Anterior instrumentation and fusion; Paralytic scoliosis; Posterior instrumentation and fusion;
D O I
10.1097/00007632-197909000-00003
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Twenty-three patients with paralytic scoliosis were treated with a combination of anterior and posterior spinal instrumentation and fusion. The sequence was anterior surgery first in 19 patients and posterior surgery first in 4. The average age was 14.4 years. Preoperative correction with a halo-hoop apparatus was performed in 12 patients. The average preoperative curve for the group measured 1 0 0 °, and the average postoperative curve at a mean follow-up time of 21 months was 3 7 °. The mean loss of correction was 8 °. Although superior hook dislodgment o ccurred in 5 patients, no pseudarthrosis or bending of the fusion mass was documented. © 1979 Harper and Row, Publishers, Inc.
引用
收藏
页码:401 / 409
页数:9
相关论文
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  • [1] Ashley R.K., Larsen L., James P., Gilbert R., Combined surgical approach to spinal deformity. Presented at the Ninth Annual Meeting of the, Scoliosis Research Society, (1974)
  • [2] Bonnett C., Brown J.C., Perry J., Et al., Evolution of treatment of paralytic scoliosis at Rancho Los Amigos Hospital, J Bone Joint Surg, 57, pp. 206-215, (1975)
  • [3] Dewald R.L., Mulcahy T., Schultz A.B., Force measurement studies with the halo-hoop apparatus, Orthop Rev, 2, pp. 17-31, (1973)
  • [4] Dewald R.L., Ray R.D., Skeletal traction for the treatment of severe scoliosis—The University of Illinois halo-hoop apparatus, J Bone Joint Surg, 52, pp. 233-238, (1970)
  • [5] Dwyer A.G., Experience of anterior correction of scoliosis, Clin Orthop, 93, pp. 191-214, (1973)
  • [6] Harrington P., Dickson J.H., An eleven year clinical investigation of Harrington instrumentation, Clin Orthop, 93, pp. 113-130, (1973)
  • [7] Hull W., Moe J., Winter R., Surgical treatment of spinal deformities in myelomeningocele. Presented at the Ninth Annual Meeting of the, The, (1974)
  • [8] Kilfoyle R.M., Foley J.J., Norton P.L., Spine and pelvic deformity in childhood and adolescent paraplegia, J Bone Joint Surg, 47, (1965)
  • [9] May V.R., Mauck W.R., Exploration of the spine for pseudarthrosis following spinal fusion in the treatment of scoliosis, Clin Orthop, 53, pp. 115-122, (1967)
  • [10] Moe J.H., The management of paralytic scoliosis, South Med J, 50, (1957)